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Employer Registration Form

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Employer Registration Form

Please complete the details below to register your details with IPAR

"*" indicates required fields

Company Name*

Contact Name*

First name Last name

Email*

Mobile phone*

Business Locations within Australia

(Tick the relevant states as many as apply)

New South Wales

Victoria

Queensland

South Australia

Western Australia

Tasmania

Northern Territory

Australian Capital Territory

National

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To help us better your needs and preferences, we would love to know:

Company address

Your position within your organisation

Principal business or industry category

Employee size

Please provide the name of the IPAR Team Member who referred you, if relevant

I want to

(Tick all that apply)

Nominate IPAR as our Preferred Provider of rehabilitation services

Register a vacancy with IPAR (we welcome the opportunity to discuss vacancies you may have within your organisation, there is no charge for our job matching services)

Learn about employer incentive programs for my state or office location

Become a host employer/organisation

Provide feedback around products, services or recent interactions with IPAR

Receive general information about IPAR and its services

Filling a Vacancy

Position/Job title

Number of positions

Role/Host location:

Work type

Tell us a bit about the role you are trying to fill

How would you like to provide the job description?*

Provide the description as text

Upload a document

Provide a link to the current advertised vacancy

Job description

Upload the job description as a document

Accepted file types: doc, docx, pdf, Max. file size: 5 MB.

Provide the link

Application closing date, if relevant

DD slash MM slash YYYY

I have more roles

ADD another role

I have multiple roles I would like to discuss, please arrange for an IPAR representative to contact me

Position/Job title

Number of positions

Role/Host location:

Work type

Tell us a bit about the role you are trying to fill

How would you like to provide the job description?*

Provide the description as text

Upload a document

Provide a link to the current advertised vacancy

Job description

Upload the job description as a document

Accepted file types: doc, docx, pdf, Max. file size: 5 MB.

Provide the link

Application closing date, if relevant

DD slash MM slash YYYY

Preferred Provider Nomination Confirmation

I am the preferred contact for RTW Coordination

Yes

No

Company RTW Coordinator (if applicable)

Do you have an aligned broker?

Yes

No

Broker name

Broker contact number

Company ABN

Today’s date*

Workers Compensation details (please complete the details for every state that you operate in)*

(If nominating IPAR as a Preferred Provider in more than one state, please ensure workers compensation details for each state below are added using the plus symbol below)

State

Workers Compensation Insurer

Policy Number

Insurer contact name (if known)

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Section Break

Initials*

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To learn more about IPAR

Please refer to our services page or find your nearest IPAR office here.

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